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Princeton Transitional Care & Assisted Living

401 Princeton Road, Johnson City, TN 37601 · Washington County · (423) 975-1800

47 certified beds, about 43 residents a day · For profit - Corporation · Medicare since 1995

CMS high performing icon Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445356 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 13, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 3 health citations since May 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.79 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 2.06 of those hours.

52.2% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
0F
Potential for minimal harm
0A
0B
0C
May 13, 2026Standard inspection · 2 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2026
    Inspectors wroteBased on facility policy review, observations and interviews, the facility failed to ensure the electronic medical records were protected for 2 residents (Resident #76 and #41) by using safeguards to ensure the electronic medical records were not available for public to view.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 25, 2026
    Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure medications were securely stored in 1 medication cart (Cart 700) of 3 medication carts reviewed.
May 21, 2025Standard inspection · 1 citation
  1. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on facility policy review, observations, and interviews the facility failed to dispose of expired blood collection tubes in one medication room (400-500 hall medication room) of one medication room observed for medication storage.
May 4, 2022Standard inspection · 0 citations

Fire safety inspections

1 fire safety citation on file: 1 on May 21, 2025.

Every fire safety citation1 citation
  1. D
    Have restrictions on the use of portable space heaters.
    K 781 · May 21, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)4.793.803.86
Registered nurses2.060.600.69
All nursing staff on weekends3.673.313.42
Nurse aides2.04
Licensed practical nurses0.69
Nursing staff turnover (share who left in a year)52.2%48.9%45.8%
Registered nurse turnover39.1%43.2%42.9%
Administrators who left1

CMS expects 4.26 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.22 on weekdays and 3.67 on weekends, 30% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.88 in April to June 2025 to 4.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.792.065.223.67 0.1%0 of 9043
Oct to Dec 20254.772.035.113.87 0.1%0 of 9244
Jul to Sep 20254.691.925.103.65 0.1%0 of 9245
Apr to Jun 20254.881.585.303.82 0.2%0 of 9142
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.71.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.822.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.911.212.0

Owners and operators

Legal business name: LP JOHNSON CITY, LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Blue Ridge Medical Management Corporation5% or greater direct ownership interestOrganization45%12/03/2018
Shc LP Holdings III, LLC5% or greater direct ownership interestOrganization56%07/01/2016
Jjla LLC5% or greater indirect ownership interestOrganization07/01/2016
Lpsnf LLC5% or greater indirect ownership interestOrganization07/01/2016
Spring Holdings, LLC5% or greater indirect ownership interestOrganization07/01/2016
Wheaten LLC5% or greater indirect ownership interestOrganization07/01/2016
Steier III, Elmer5% or greater indirect ownership interestIndividual07/01/2016
Allen, JaysonW-2 managing employeeIndividual04/17/2023
Harrison, JohnCorporate officerIndividual01/24/2005

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 13, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 13, 2026: "Keep residents' personal and medical records private and confidential."
  3. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is Princeton Transitional Care & Assisted Living's Medicare star rating?
CMS rates Princeton Transitional Care & Assisted Living 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Princeton Transitional Care & Assisted Living get at its last inspection?
2 health deficiencies at the standard inspection on May 13, 2026. The Tennessee average is 4.4.
Has Princeton Transitional Care & Assisted Living been fined?
CMS lists no fines in the last three years.
Does Princeton Transitional Care & Assisted Living accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Princeton Transitional Care & Assisted Living?
CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP JOHNSON CITY, LLC.

Sources

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